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T538

T538T538

OHIP Other Code · Schedule of Benefits

When to Use

  • Use T538 for the surgical repair of a complete third-degree perineal laceration involving the anal sphincter and rectal mucosa.
  • Apply this code when performing a secondary repair of a perineal laceration that requires formal reconstruction of the anal sphincter mechanism.

Common Pitfalls

  • Billing T538 in conjunction with a standard vaginal delivery code (e.g., S510) is often flagged for audit; ensure the operative report clearly justifies the complexity of the repair.
  • Do not bill T538 if the repair is limited to a second-degree laceration, as this is included in the global delivery fee; use this code only for third or fourth-degree tears.

Billing Tips

  • Ensure the operative report explicitly documents the involvement of the anal sphincter and rectal mucosa to support the high-value fee associated with this procedure.
Provider Fee$1,541.73
Specialist Fee$1,541.73

Effective: February 1, 2011

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